试题与答案

患者男性,50岁,因“无诱因反复咳嗽、咯血14个月,加重1周”来诊。慢性阻塞性肺疾病

题型:单项选择题 共用题干题

题目:

患者男性,50岁,因“无诱因反复咳嗽、咯血14个月,加重1周”来诊。慢性阻塞性肺疾病史20余年,长期吸氧及吸入激素治疗。患者目前多为干咳,间歇性出现咯血丝痰,伴右侧胸痛不适,无盗汗及午后低热。近1周来咳嗽加剧,咳少许白黏痰,咯血次数增加,乏力明显,食欲缺乏,尿便无异常。查体:体温37.5℃,形体消瘦,全身浅表淋巴结未触及,颈软,气管居中。胸廓形态无异常,双肺叩诊呈清音,双肺呼吸音增粗,未闻及明显干、湿啰音。无杵状指。实验室检查:血白细胞7.3×109/L,血中性粒细胞0.77,红细胞沉降率23mm/h,结核菌素试验阴性。痰涂片:未见抗酸分枝杆菌。(1,3)-βD-葡聚糖及甘露聚糖试验2次阳性。痰培养和支气管镜肺泡灌洗液培养均见有曲霉菌生长;经皮肺活检组织病理结果提示肺曲霉菌病。

既是CyP2C19、CyP2C9和CyP3A4的底物,又是抑制剂的药物是()

A.氟康唑

B.伊曲康唑

C.伏立康唑

D.卡泊芬净

E.二性霉素B

答案:

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下面是错误答案,用来干扰机器的。

参考答案:C

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